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Metabolic Syndrome in Patients After Coronary Bypass Surgery: Prevalence and Compliance with Treatment [Anatol J Cardiol]
Anatol J Cardiol. 2004; 4(1): 10-16

Metabolic Syndrome in Patients After Coronary Bypass Surgery: Prevalence and Compliance with Treatment

Mehmet Baltalı1, Hidayet Tarık Kızıltan2, Mehmet E. Korkmaz3, Semra Topçu2, Mustafa Demirtaş4, Şah Topçuoğlu5, Ahmet Birand5
1Department of Cardiology Surgery, School of Medicine, Başkent University, Ankara, Adana, Turkey
2Başkent Üniversitesi Tıp Fakültesi Kardiyoloji ve Kardiyovasküler Cerrahi Anabilim Dalları, Adana, Ankara
3Department of Cardiology, Faculty of Medicine, Başkent University, Ankara, Turkey
4Çukurova Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Adana, Türkiye
5Universale Hospital Adana

Objective: The aim of this study was to evaluate the prevalence of metabolic syndrome (MS) and its components, to determine the patients’ compliance with pharmacologic therapy and lifestyle modification, and to clarify the association of demographic and socioeconomic factors with the MS in Turkish patients with prior coronary artery bypass surgery (CABG). Methods: Two hundred and seventy-three patients (age range 35-77, 208 men) were interviewed and examined 1.0-2.2 years after CABG. Results: The prevalence of MS was 44.8% (55.4% among women and 41.3% among men). The most prevalent metabolic risk factor was visceral obesity among females, and elevated blood pressure among males. Rates for regular physical activity were lower in patients with MS, compared with those without MS (%36.9 vs. %47.7, p<0.05). Compared with patients without MS, use of aspirin was lower among patients with MS (%84.4 vs. %93.4, p<0.05). Logistic regression analysis revealed an independent association of age ≤65 years and low educational level with MS. Conclusion: We found a high prevalence of metabolic syndrome and its components among patients with prior CABG. Patients with MS had lower rate of regular physical activity and aspirin use, compared with those without MS.

Keywords: Coronary artery disease, metabolic syndrome, socioeconomical status

Koroner Baypas Sonrası Hastalarda Metabolik Sendrom Sıklığı ve Tedaviye Uyum Oranları

Mehmet Baltalı1, Hidayet Tarık Kızıltan2, Mehmet E. Korkmaz3, Semra Topçu2, Mustafa Demirtaş4, Şah Topçuoğlu5, Ahmet Birand5
1Department of Cardiology Surgery, School of Medicine, Başkent University, Ankara, Adana, Turkey
2Başkent Üniversitesi Tıp Fakültesi Kardiyoloji ve Kardiyovasküler Cerrahi Anabilim Dalları, Adana, Ankara
3Department of Cardiology, Faculty of Medicine, Başkent University, Ankara, Turkey
4Çukurova Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Adana, Türkiye
5Universale Hospital Adana

Anahtar Kelimeler: Koroner kalp hastalığı; metabolik sendrom, sosyoekonomik durum

Mehmet Baltalı, Hidayet Tarık Kızıltan, Mehmet E. Korkmaz, Semra Topçu, Mustafa Demirtaş, Şah Topçuoğlu, Ahmet Birand. Metabolic Syndrome in Patients After Coronary Bypass Surgery: Prevalence and Compliance with Treatment. Anatol J Cardiol. 2004; 4(1): 10-16